Healthcare Provider Details

I. General information

NPI: 1407851587
Provider Name (Legal Business Name): STEVEN DOUGLAS ROCK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1193 BUNKER AVE
ARNOLD MD
21012-1847
US

IV. Provider business mailing address

1193 BUNKER AVE
ARNOLD MD
21012-1847
US

V. Phone/Fax

Practice location:
  • Phone: 410-610-4659
  • Fax: 410-701-3444
Mailing address:
  • Phone: 410-610-4659
  • Fax: 410-701-3444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD0051424
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberD0051424
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD70034077
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: